DEVOTED DUAL CHOICE 004 NE (PPO D-SNP) in Sarpy County, Nebraska — 2026 plan details

Last updated Jul 18, 2026

Reviewed by Jason Burns, Editorial Steward

Published by Senior Direct Answers · Licensed under Citation License 1.0

DEVOTED DUAL CHOICE 004 NE (PPO D-SNP) (H9802-004) is a $14-premium Medicare Advantage PPO D-SNP from Devoted Health, Inc. available in Sarpy County, Nebraska in 2026, with a -star overall rating, a $4,400 in-network out-of-pocket maximum, and a $615 annual Part D drug deductible.

Plan facts (CMS CY2026 Landscape file)

OrganizationDevoted Health, Inc.
Plan nameDEVOTED DUAL CHOICE 004 NE (PPO D-SNP)
Contract IDH9802
Plan ID004
Segment ID0
Contract year2026
Contract categorySNP
Plan typePPO D-SNP
SNPYes — Dual-Eligible
Monthly consolidated premium$14.40
Part C premium$0.00
Part D basic premium$14.40
Part D total premium$14.40
Annual Part D deductible$615.00
Maximum out-of-pocket (in-network)$4400.00
Overall star rating

How this plan is structured

How it compares in Sarpy County

The CMS CY2026 Landscape file lists 45 Medicare Advantage plans in Sarpy County, Nebraska, of which 0 carry a 5.0-star overall rating and 21 have a $0 consolidated monthly premium. Consolidated premiums range from $0.00 to $155.00 per month, and in-network out-of-pocket maximums range from $2500.00 to $9250.00.

For the full county plan directory, see all Medicare plans in Sarpy County, Nebraska.

How to verify your doctors take this plan

Network participation changes throughout the year; we hold no provider-network data, so verify directly with these three sources before you decide:

  1. Open the plan's official Medicare.gov page and use its provider-directory link: Medicare.gov Plan Finder — H9802-004.
  2. Call the plan (Devoted Health, Inc.) using the member-services number listed on that plan page and ask whether each doctor, hospital, and pharmacy is in-network for 2026.
  3. Get free, unbiased help from your State Health Insurance Assistance Program (SHIP) — see free unbiased Medicare help from SHIP.

What H9802-004 means

CMS assigns every Medicare Advantage and Part D offering a plan identifier made of three parts. In H9802-004, the leading H marks the contract type (H = Medicare Advantage / Part C contract), the four digits 9802 are the contract number issued to the organization, and the three-digit 004 is the plan benefit package under that contract. The segment ID 0 identifies the service-area segment within the plan (0 = the default single segment).

Frequently asked questions

Is DEVOTED DUAL CHOICE 004 NE (PPO D-SNP) an HMO or PPO?

DEVOTED DUAL CHOICE 004 NE (PPO D-SNP) is a PPO D-SNP Medicare Advantage plan.

Does DEVOTED DUAL CHOICE 004 NE (PPO D-SNP) include prescription drug coverage?

Yes — DEVOTED DUAL CHOICE 004 NE (PPO D-SNP) is a Medicare Advantage plan with prescription drug coverage (MA-PD) and a $615.00 annual Part D drug deductible for 2026.

What is the maximum out-of-pocket cost for DEVOTED DUAL CHOICE 004 NE (PPO D-SNP)?

The 2026 in-network maximum out-of-pocket limit for DEVOTED DUAL CHOICE 004 NE (PPO D-SNP) is $4400.00, per the CMS CY2026 Landscape file.

What counties offer DEVOTED DUAL CHOICE 004 NE (PPO D-SNP) (H9802-004)?

DEVOTED DUAL CHOICE 004 NE (PPO D-SNP) (H9802-004) is offered in 14 Nebraska counties: Adams County, Boone County, Buffalo County, Cass County, Douglas County, Hall County, Howard County, Kearney County, Merrick County, Nance County, Otoe County, Sarpy County, Saunders County, and Washington County.

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